HomeMy WebLinkAbout05020066-ApplicationPROPERTY
OWNER:
City of Cannel/Clay Township ]~ pemit#
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
NAME ~ -- PHONE FAX~
~ ~ ~o ~ . B~ETHOD OF CONTACT:
SINGLE FAMILY
[] TOWN HOME
[] l~VO FAMILY
# of units:
MULTi-FAMILY
# of Units:__
[] RESIDENTL~L (For
Additions, Remodels, Etc.)
- - IN - - m :- _:
[] REMODEL
[] ACCESSORY BUILDING
C] DETACHED GARAGE
[] AI~ACHED GARAGE
[] DEMOLITION
Which plumbing codes will be applied to the constTuction:
~temaUonal Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(MulU-Family Construction Code)
FOUNDA~ON TYPE: (Check all that apply for the new
~.NN construction area)
__~yY~----- 8[ BEAM
~ SLAB .~ BASEMENT _~
lie within a special Flood designation area: Y ~1~ WALKOLrr: _Y ~
r smc~, this permit is valid only ff consm~cuon co~enc~
OFFZCE USE ONLY: *************a
otbe
Indiana.
Base Inspections: ~.~,~ ~,. f~O ~ U # ~ard(~sRe'
Ce~. of ~cupan~: ~
P.R.I.F.: ~~ q ~ _~1 -..... Add,'Uona